Direct Physical Therapy, Llp | |
21850 Highway 62 Ste 7, Shady Cove, OR 97539-8715 | |
(541) 941-5170 | |
(541) 708-5652 |
Full Name | Direct Physical Therapy, Llp |
---|---|
Type | Facility |
Speciality | Physical Therapist |
Location | 21850 Highway 62 Ste 7, Shady Cove, Oregon |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1205109014 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 5130 (Oregon) | Primary |
Provider Name | Lance Drummond Cooper |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1467503284 PECOS PAC ID: 2668491747 Enrollment ID: I20060309000462 |
Provider Name | Ann Sprague |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1124060835 PECOS PAC ID: 0345244976 Enrollment ID: I20120516000677 |
Mailing Address | Practice Location Address |
---|---|
Direct Physical Therapy, Llp 997 Patton Ln, Ashland, OR 97520-9135 Ph: (541) 941-5170 | Direct Physical Therapy, Llp 21850 Highway 62 Ste 7, Shady Cove, OR 97539-8715 Ph: (541) 941-5170 |
Upper Rogue Physical Therapy Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 21850 Highway 62 Ste 203, Shady Cove, OR 97539 Phone: 541-941-5170 Fax: 541-878-8111 | |
Mrs. Ann Marie Sprague, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 21850 Highway 62 Ste 203, Shady Cove, OR 97539 Phone: 541-941-5170 Fax: 541-878-8111 |